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� <br />� <br />i ..�,�„�i- �:���r.a,:c= r�;,tT �;�,u ,>r���,.�. <br />� ., �� -� �'lll�l i;, STA:�:['•^.i�.US OF <br />..r„� _ _.: . - <br />_ u;!�o�:;:�::,���� : .� �.;.��.r„�r�,:•r. <br />r:, • <br />,�,,�;�^,.c;r; �r �..:. . ...=:x�ia:_o <br />� .�G;:: C:�'.-� i IOiJ. <br />, � . , cC':i. . .,.. �CTl07J. <br />APPLICATIUN FUh <br />, . /�'�� � <br />i �` ��lz <br />'J ����i <br />Date,_ <br />((%'� �� �i(j�-��^�`Lr?i✓t_ ��l�-�� . <br />The undersi�ned owner hereby aprees to hold and save harmless the City <br />of Everett �rom any and all alaims for dam�n�es th�t may arise because of <br />lnstallation of the improvement hereto applted For� and further a�rees to <br />rerrave same upon no{ice from the Cj{y and to replace all public property <br />Jamaged thereby. I' <br />� 10 � D'` --'�� <br />f/Cl�(�f.�`� � c! ec <br />�`/��o. .�, � <br />Sipned <br />, �,'.___.� <br />�BE� L i/�N <br />cvnJs•r2✓ci �o'� <br />/Z"s�-Sd��vs <br />:��� vo�C <br />� 4 ���-- vo� <br />a ,�� <br />�- <br />v q.�� •. : <br />�3�X 3''0 �'--. <br />% i � , �'G <br />;� �-yeZ�- ���. <br />� -� <br />� iJt: .-� 1�-� ..��'%� . • �r���'C���_ ��,-r`, , <br />L� �.�il ii 3- Zo - 7�L ���. <br />LnCi �C � �G (-�� � <br />l��E � <br />� <br />�VE�Zv/ZEC.v (///}*� <br />1Z <br />� 6'� <br />0 <br />'cv �,� <br />' ;; � /--. . <br />Uwner <br />tractor <br />-�s�� <br />�, � ,; _'� l?� <br />/ . ;� , .,. . <br />CITY OF EVCR�TT � <br />APPROV�U FOR E�UIL.UI(dG ERMIT I <br />�., r. 3�y/�� v,; G��� . I <br />—___ � <br />